Eisenmenger Syndrome, Pulmonary Arterial Hypertension
Conditions
Brief summary
The purpose of this study is to investigate the influence of physical training on exercise capacity, quality of life, functional class, oxygen consumption and right ventricular function in patients with severe associated pulmonary arterial hypertension (APAH) as part of a congenital heart defect with / without Eisenmenger's Syndrome
Interventions
Conventional therapy with specific respiratory and physical therapy plus mental walking training
Sponsors
Study design
Eligibility
Inclusion criteria
* signed consent form * men and women\> 18 years \<80 years * APAH with congenital heart defects with / without Eisenmenger syndrome (WHO functional class II-IV), invasively diagnosed by right heart and left heart catheterization: mean pulmonary arterial pressure (mPAP) ≥ 25 mmHg, with targeted PAH medication for at least two months stable before study inclusion (exception: compensated WHO class II without vasodilating drug therapy)
Exclusion criteria
* Pregnancy or lactation * Change in medication during the last 2 months * severe walking disturbance * uncertain diagnoses * No previous invasively confirmation of PH * acute diseases, infections, fever * Serious lung disease with FEV1 \<50% or TLC \<70% of target * Further
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in the maximum 6-minute walk distance (6MGT) | up to 15 weeks |
| Changes in quality of life | up to 15 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in hemodynamics | up to 15 weeks | 1. Changes in maximum oxygen uptake 2. Changes in exercise capacity: 6-minute walk distance, Recumbent Bike (Watts), respiratory economy (EQO2, EQCO2) 3. Improved condition(NYHA class, Borg scale) 4. Changes in Magnetic resonance tomography and echocardiographic parameters of right and left ventricle: size and pump function. 5. Change of laboratory parameters, which are markers of right heart failure as NTproBNP, interleukins |
Countries
Germany